Urology Center of West Plains

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

110894 Issued in MO

Legal business name

UROLOGY CENTER OF WEST PLAINS

Practice address

181 N Kentucky St Ste 200
West Plains, MO 65775-2089

Phone

(417) 255-8337

Fax

(417) 255-2720

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter R Holloway, M.D.NPI 1336247899

Title

Physician Owner

Phone

(417) 255-8337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter R Holloway, M.D.

  • Urology Physician
  • West Plains, MO
  • NPI 1336247899
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124188172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY ST STE 200",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-255-8337",
            "fax_number": "417-255-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY ST STE 200",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-255-8337",
            "fax_number": "417-255-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF WEST PLAINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "417-255-8337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MO",
            "license": "110894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "100049",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vafa Ferdowsian DPM, P.a. (Foot and Ankle Specialty Clinic)
• Ryan Nathaniel Vaisler, M.D.
• Carolyn Valade
• Maureen Gaye Vance, RPH

• Urology Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.